Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,119.04 / $17,090.16	Facility		$5,091.00	$7,119.04	$17,090.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $1,263.61 / $2,291.19	Professional		$291.64	$1,263.61	$2,291.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.29 / $787.86 / $3,750.39	Professional		$630.29	$787.86	$3,750.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $372.83 / $1,683.34 / $2,832.64	Professional		$372.83	$1,683.34	$2,832.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $631.73 / $3,238.99 / $14,194.81	Facility		$631.73	$3,238.99	$14,194.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $784.12 / $3,226.54 / $5,134.12	Professional		$784.12	$3,226.54	$5,134.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $694.07 / $3,382.03 / $5,346.70	Facility		$694.07	$3,382.03	$5,346.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $631.73 / $2,504.56 / $4,018.96	Professional		$631.73	$2,504.56	$4,018.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $1,194.86 / $6,843.39	Professional		$288.99	$1,194.86	$6,843.39
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,622.74 / $3,162.78 / $4,593.49	Professional		$1,622.74	$3,162.78	$4,593.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $579.20 / $681.40 / $3,010.50	Professional		$579.20	$681.40	$3,010.50